Red Swollen Bump Near the Vagina: Causes and Treatment Options

A red, swollen protrusion has developed between the vagina and the anus?

There is a red, swollen protrusion located near the upper part of the vagina that resembles an inflamed pimple and causes painful friction.
What medication or treatment methods should be applied?

Yayin, 20~29 year old female. Ask Date: 2016/07/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I'm sorry that I cannot diagnose based on the described symptoms.
If you still feel unwell, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/07/10

More Info

Red swollen bumps near the vagina can be concerning and may arise from various causes. It is essential to understand the potential reasons behind these symptoms and the appropriate treatment options available.

Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria, fungi, or irritation. It can present as red, swollen bumps that may be itchy or painful.

2. Bartholin's Cyst: The Bartholin glands are located on either side of the vaginal opening. If these glands become blocked, fluid can accumulate, leading to a cyst that may become swollen and tender.

3. Genital Herpes: Although you mentioned a previous negative HSV test, it’s important to note that herpes can sometimes present with atypical symptoms. If you experience recurrent outbreaks, it might be worth retesting or consulting a healthcare provider for further evaluation.

4. Allergic Reactions: Irritation from soaps, lotions, or laundry detergents can lead to contact dermatitis, resulting in red, swollen bumps.

5. Vulvar Dermatitis: This condition can be caused by various irritants or allergens and may present as red, itchy bumps.

6. Ingrown Hairs: Shaving or waxing can lead to ingrown hairs, which can cause red, painful bumps.

7. Sexually Transmitted Infections (STIs): Conditions like molluscum contagiosum or warts caused by HPV can also present as bumps in the genital area.

Treatment Options
1. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. If you suspect folliculitis, an antibacterial ointment like bacitracin may be beneficial.

2. Warm Compresses: Applying a warm compress to the affected area can help reduce swelling and discomfort.

3. Avoid Irritants: If you suspect an allergic reaction, try to identify and avoid potential irritants, such as certain soaps or fabrics.

4. Proper Hygiene: Keeping the area clean and dry can help prevent infections. Avoid tight clothing that may cause friction.

5. Consult a Healthcare Provider: If the bump persists, worsens, or is accompanied by other symptoms such as fever or unusual discharge, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend further testing or prescription medications.

6. Avoid Self-Diagnosis: While it can be tempting to self-diagnose based on symptoms, many conditions can present similarly. A healthcare professional can provide a definitive diagnosis and appropriate treatment plan.

When to Seek Medical Attention
- If the bump is painful, rapidly increasing in size, or accompanied by fever or discharge.

- If you experience recurrent symptoms or have a history of STIs.

- If you have any concerns about the nature of the bump or if it affects your quality of life.

In conclusion, while there are several potential causes for red swollen bumps near the vagina, proper diagnosis and treatment are essential for effective management. If you are experiencing discomfort or have concerns about your symptoms, it is always best to consult with a healthcare provider for personalized advice and treatment options.

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